[Screening of anal intraepithelial neoplasia in risk groups: descriptive study of sexual habits and other sexual transmitted infections].

Autor:	Padilla-España L; Departamento de Dermatología, Hospital Costa del Sol, Marbella, Málaga, España. Electronic address: laupadesp@gmail.com., Repiso-Jiménez JB; Departamento de Dermatología, Hospital Costa del Sol, Marbella, Málaga, España., Frieyro-Elicegui M; Departamento de Dermatología, Hospital Costa del Sol, Marbella, Málaga, España., Rivas-Ruiz F; Unidad de Apoyo a la Investigación, Hospital Costa del Sol, Marbella, Málaga, España., Robles L; Departamento de Anatomía Patológica, Hospital Costa del Sol, Marbella, Málaga, España., de Troya M; Departamento de Dermatología, Hospital Costa del Sol, Marbella, Málaga, España.
Jazyk:	Spanish; Castilian
Zdroj:	Medicina clinica [Med Clin (Barc)] 2014 Feb 20; Vol. 142 (4), pp. 145-9. Date of Electronic Publication: 2013 Oct 08.
DOI:	10.1016/j.medcli.2013.05.047
Abstrakt:	Background: Anal intraepithelial neoplasia is considered a precursor lesion of anal squamous carcinoma. The population with increased risk of this conditions are immunocompromised individuals, especially HIV-infected, with anal sex practices. The aim of this study was to describe the sexual habits of patients who were seen in sexually transmitted infections (STIs) consult in our service in whom anal cytology was performed as well as the association of anal dysplasia to other STIs. Material and Methods: We performed a retrospective cohort study that included those patients in whom, according to our protocol, anal cytology was performed between 2008 and 2011. Also we conducted a survey on sexual habits and screening for other STIs. Finally, we conducted a descriptive and analytical study assessing bivariate distribution of cytological alterations and grade of anal dysplasia. Results: A total of 347 anal cytologies were performed, and 48.1% were abnormal. Statistically significant differences were found between the presence of condylomata perianal/endoanal, HIV infection, Chlamydia trachomatis infection and the presence of cytologic alterations. Conclusion: There was a high incidence of anal dysplasia in our group of individuals with risky sexual habits; however, it is probably underdiagnosed due to its subclinical nature and lack of a well-established screening protocol. (Copyright © 2013 Elsevier España, S.L. All rights reserved.)
Databáze:	MEDLINE
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